Introduction: A repeat pregnancy at adolescent age often comes with much stress and complications. It feeds into a cycle of psychological trauma and socio-economic deprivation that compromises the life of the young mo...Introduction: A repeat pregnancy at adolescent age often comes with much stress and complications. It feeds into a cycle of psychological trauma and socio-economic deprivation that compromises the life of the young mother and her child. Majority of girls might be having one child, but many more might be pregnant or having more than one child at adolescent age. Methodology: This was a cross-sectional analytic mixed-method study with semi-structured questionnaires administered to 381 adolescents drawn from 10 health facilities. Two FGD and 5 key informant interviews were also conducted within the study area. Quantitative data was analysed using t-test for continuous variables and Chi-square test for categorical data. Qualitative data was themed to describe the population’s attitudes, patterns and opinions related to the study objectives. Results: Ethnicity significantly influenced occurrence of repeat pregnancy with adolescent girls from Luo ethnic group being 50% less likely to have repeat pregnancy. Adolescents who used condoms only sometimes were twice likely to report repeat pregnancy (OR: 1.7;95% CI: 1.1 - 2.7;p = 0.01), while those whose mothers had a child while under 18 years had 50% chance of having a repeat pregnancy. Similarly, those who had more than two sexual partners had higher odds of repeat pregnancy (OR: 2.5;95% CI: 1.1 - 5.6;p = 0.02). Conclusion: The study sought to investigate the association between social environment and behaviour of adolescent girls to occurrence of repeat pregnancy. It was based on Bandura’s (1986) social cognitive theory (SCT) that explains how human behaviour is a reciprocal interaction between the person, behaviour and the social environment. The study noted that as much as adolescent pregnancy is generally considered a social, economic and behavioural phenomenon, there was little influence by individuals around an adolescent, adolescent past-experience, future expectation, social surrounding and reinforcements in life of a teenager. However, a few factors such as ethnicity, level of support and condom use significantly influenced occurrence of repeat pregnancy among adolescents.展开更多
The present study aimed to explore the drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID-19 lockdown period.A systematic review design was adopted.The major online databases utilized wer...The present study aimed to explore the drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID-19 lockdown period.A systematic review design was adopted.The major online databases utilized were PubMed,Google Scholar,Uganda and Kenya Ministry of Health repositories,ScienceDirect,and Scopus.Studies that were originating from Kenya and Uganda that were publicly available in electronic format published from March 2020 to March 2022 were used.The thematic analysis identified major concepts that were drivers to the present research problem which were as follows:(1)school closure and(2)loss of income by parents.The COVID-19 containment measures introduced in the two countries were noted as major contributing factors.During the pandemic,lockdown led to school closures which meant the teenagers being idle at home with an increased opportunity to indulge in sexual risk behaviors.Schools have been noted to be a safe place protecting this vulnerable population.However,with their prolonged closure,the teenagers were exposed to sexual predators.Parents lost income,and this might have contributed to early marriages and teenagers’dependency on their sexual partners.Based on the reviewed evidence,the present study furthers the advocacy for the reduction of early marriages and teenage pregnancy,especially in the current COVID-19 pandemic era.The study calls upon the governments to intensify efforts toward the present research problem as the COVID-19 pandemic is eroding the earlier gains made within the region.展开更多
文摘Introduction: A repeat pregnancy at adolescent age often comes with much stress and complications. It feeds into a cycle of psychological trauma and socio-economic deprivation that compromises the life of the young mother and her child. Majority of girls might be having one child, but many more might be pregnant or having more than one child at adolescent age. Methodology: This was a cross-sectional analytic mixed-method study with semi-structured questionnaires administered to 381 adolescents drawn from 10 health facilities. Two FGD and 5 key informant interviews were also conducted within the study area. Quantitative data was analysed using t-test for continuous variables and Chi-square test for categorical data. Qualitative data was themed to describe the population’s attitudes, patterns and opinions related to the study objectives. Results: Ethnicity significantly influenced occurrence of repeat pregnancy with adolescent girls from Luo ethnic group being 50% less likely to have repeat pregnancy. Adolescents who used condoms only sometimes were twice likely to report repeat pregnancy (OR: 1.7;95% CI: 1.1 - 2.7;p = 0.01), while those whose mothers had a child while under 18 years had 50% chance of having a repeat pregnancy. Similarly, those who had more than two sexual partners had higher odds of repeat pregnancy (OR: 2.5;95% CI: 1.1 - 5.6;p = 0.02). Conclusion: The study sought to investigate the association between social environment and behaviour of adolescent girls to occurrence of repeat pregnancy. It was based on Bandura’s (1986) social cognitive theory (SCT) that explains how human behaviour is a reciprocal interaction between the person, behaviour and the social environment. The study noted that as much as adolescent pregnancy is generally considered a social, economic and behavioural phenomenon, there was little influence by individuals around an adolescent, adolescent past-experience, future expectation, social surrounding and reinforcements in life of a teenager. However, a few factors such as ethnicity, level of support and condom use significantly influenced occurrence of repeat pregnancy among adolescents.
文摘The present study aimed to explore the drivers of early marriage and teenage pregnancy in Kenya and Uganda during COVID-19 lockdown period.A systematic review design was adopted.The major online databases utilized were PubMed,Google Scholar,Uganda and Kenya Ministry of Health repositories,ScienceDirect,and Scopus.Studies that were originating from Kenya and Uganda that were publicly available in electronic format published from March 2020 to March 2022 were used.The thematic analysis identified major concepts that were drivers to the present research problem which were as follows:(1)school closure and(2)loss of income by parents.The COVID-19 containment measures introduced in the two countries were noted as major contributing factors.During the pandemic,lockdown led to school closures which meant the teenagers being idle at home with an increased opportunity to indulge in sexual risk behaviors.Schools have been noted to be a safe place protecting this vulnerable population.However,with their prolonged closure,the teenagers were exposed to sexual predators.Parents lost income,and this might have contributed to early marriages and teenagers’dependency on their sexual partners.Based on the reviewed evidence,the present study furthers the advocacy for the reduction of early marriages and teenage pregnancy,especially in the current COVID-19 pandemic era.The study calls upon the governments to intensify efforts toward the present research problem as the COVID-19 pandemic is eroding the earlier gains made within the region.
